Revenue Cycle Impact and Woeful Inefficiency Make it a High Priority

Nevada Bodmer

Provider Enrollment is now vital to the hospitals’ revenue cycle management. The financial repercussions of a Provider Enrollment process that is out of control can be highly detrimental. As a result, healthcare leaders acknowledge that it is time to elevate and improve the Provider Enrollment process.

Learn what new research reveals in this landmark whitepaper:

The current and changing environment for provider enrollment and the implications it has for hospitals, healthcare organizations, and medical groups

Lack of attention to the provider enrollment function can be devastating to an organization’s revenue cycle management

The importance of streamlining common provider-payer transactions to enhance the revenue cycle

Upcoming Events

Testimonials

A comprehensive privileging methodology, such as Morrisey’s Privilege Content and Criteria Builder, has been requested by our customers for a long time. PCCB fills a need that has not been met in the marketplace. Our medical director and advisory board are unique resources that will assure that the content remains current and comprehensive.

Vicki L. SearcyVice PresidentMorrisey Consulting Services

We love PCCB! We simply drag and drop a Morrisey privileging template into our queue. There’s no need to manually change the default settings on the form. We can edit the form on the fly when meeting with our practitioners and print a clean copy. Our practitioners are then able to vet the form with others at our organization and continue to enhance the privileges. Another benefit of PCCB is being able to look up privileges quickly and efficiently and identify any FPPEs that are in process. This helps our operating room staff understand if a practitioner needs to have a proctor with them during their first few months.

We have found PCCB to be a lifesaver! It’s very easy and intuitive to use, whether building your own forms from scratch or adapting the attached forms to make them your own. Vicki [Searcy] and Wendy [Crimp] were tremendously responsive when we had privileging questions, and they’re a great resource. We had a difficult time updating our general surgery form in the past, but with the reference documents in PCCB, we can now update our form and stay current.

MSOW saves us time in verifying licenses and makes it possible for us to have one staff person – instead of the whole office – manage the licensure process during physician renewals. The individual who manages licensure also has enough time to manage insurance renewals, which is a manual process.

Apogee has cut our credentialing turnaround time from an average of about a month for paper processing to six hours for a board-certified physician – and that’s including the credentialing committee approving the application. In addition to meeting our needs in a paperless environment, online applications and reapplications have reduced processing errors since the system only populates what practitioners provide. Practitioners can upload the additional forms we require, reducing the number of faxes and paper copies we receive. I have slashed my postage budget, and use those dollars for continuing education.

Administrative Review has sped up our review process and saved us significant time and legwork. We no longer have to hand-deliver credentials files to reviewers at offices spread out over our hospitals and clinics. With a click of the mouse, the credentials file is delivered effortlessly and automatically to the reviewer’s computer.

Hospitals that are at the forefront of technology are no longer relying on paper medical records for peer review management. Morrisey’s Peer Review Manager is a comprehensive solution for real-time tracking and managing case review activities using a seamless automated work flow. The software allows users to streamline peer case review communications and reporting while helping their organizations drive improved quality outcomes.